Research Goals
Lung and gastric cancer are the top two leading causes of cancer-related mortality worldwide, with 1.8 and 1.1 million deaths respectively each year. Pancreatic cancer, with a less than 10% survival rate and an increasing number of cases, is expected to become the third-leading cause of cancer death by 2030. Therefore, there is a great unmet need for the development of new therapeutics for those three malignancies.
The overall goal of our research program is to leverage cutting-edge genetically-modified mouse models to elucidate physiologic and pathologic roles for protein methylation signaling (histone and non-histone) in the regulation of cancer pathogenesis, targeted therapy resistance mechanisms and enhancement of CAR-T therapies. The Mazur Lab research integrates methodological and conceptual innovations to drive in-depth mechanistic studies required for clinical translation with high predictive validity. These approaches are experimentally validated, mutually synergisti, and proven in spearheading my research and collaborations to deliver high-value therapeutic targets, as exemplified by our publications.
Research Strategy
Ribosomal protein methylation “code” in the regulation of translation and cancer pathogenesis
Discovery of SMYD5 enzymatic activity and function
Mechanisms to increase protein synthesis are crucial in the development and progression of diverse cancers. While most oncogenic pathways target the translation initiation machinery, the elongation step of translation also represents an important regulatory node. Our work identified METTL13, FAM86A, and SMYD5, previously not recognized protein methyltransferases (PMTs) of ribosomal proteins as critical regulators of tumorigenesis (Nature, 2024; Cell Research, 2024; Molecular Cell, 2024; Cell, 2019).
We found that METTL13 and FAM86A, through methylation of eEF1A and eEF2 respectively, regulate mRNA translation elongation, the most energy-consuming process in the cell, which has a major role in cancer pathogenesis. During translation elongation, the GTPase eEF1A delivers with fidelity aminoacylated tRNAs to translating ribosomes. A peptide bond is made, and eEF2 catalyzes the movement of the peptidyl-tRNA·mRNA complex, allowing the process to repeat. Importantly, there are several methylation sites at eEF1A, eEF2, and other ribosome proteins that are highly conserved, which function is poorly recognized, and in most cases, the specific PMTs generating the modifications remain unknown.
Our investigation of the molecular and cellular consequence of ribosomal protein methylation will provide novel insights into the role of lysine, arginine and histidine methylation in normal and malignant cells and, by analogy to the “histone code,” explore the idea of a ribosomal “methylation code” that calibrates translation outputs.
A central hypothesis to be tested here is that uncovering the function of PMTs that specifically methylate ribosomal proteins may reveal new mechanisms regulating mRNA translation and provide new therapeutic opportunities. We are utilizing the methods we have established to assess the specific consequences of ribosomal protein methylation on global protein synthesis and specific mRNA translation.
Molecular and epigenetic drivers of 3q26 and 8p11 amplified lung squamous cell cancer (LUSC)
Discovery of NSD3 as a key driver of squamous lung cancer
Amplifications of chromosomal regions 3q26-29 (3q26AMP) and 8p11-12 (8p11AMP) represent two critical genetic hallmarks of LUSC present in >90% of tumors. We have recently identified the H3K36 methyltransferase NSD3 as a principal 8p11AMP-associated oncogenic driver in LUSC (Nature, 2021).
Our initial studies suggest a mechanism by which 8p11AMP-associated LUSC is dependent on the NSD3-H3K36me2 axis to sustain transcriptional programs required to promote malignant progression. Our work provided evidence in mouse and human cancer models that NSD3’s catalytic activity regulates LUSC pathogenesis.
Given the co-occurrence of 3q26AMP and 8p11AMP, we explore genetic interactions between amplified genes in promoting LUSC malignant progression. Using genetic screening, we found that from over 200 genes within 3q26AMP, four genes (3q26 onco-cassette) are required and sufficient to trigger the transformation of normal human lung epithelial cells. Based on those findings, we generated a mouse model with conditional overexpression of the identified 3q26AMP oncogenes (3q26 onco-mouse).
Our research demonstrates that 3q26AMP and 8p11AMP oncogenes cooperate in driving an aggressive course of disease progression, similar to what is observed in the majority of LUSC patients with concomitant amplifications. The goal of this research is to decipher the molecular and epigenetic network triggered by 3q26AMP and 8p11AMP amplifications on oncogenic programming in LUSC. This research is supported by R01CA278940.
Mechanisms of action and therapeutic targeting of H3K36me2 methyltransferases
Identification of NSD2 as a key driver of lung cancer malignancy
Similarly to NSD3, our work on NSD2 identified recurring gain-of-function mutation (E1099K) and upregulation triggering activation of oncogenic programs to promote KRAS-driven lung adenocarcinoma (LUAD) pathogenesis (Mol Cell, 2022). A striking aspect of NSD-family hyperactivation is not the emergence of a higher number of tumors, but rather the development of rare, exceptionally large, and aggressive tumors, suggesting that the NSD-H3K36me2 axis facilitates tumor evolution. This observation is consistent with the hypothesis that NSD2’s action as an epigenetic mutagen accelerates the ability of tumors to acquire rare yet profoundly tumorigenic, malignant alterations.
We are utilizing cutting-edge epigenetic and single-cell methods to explore the molecular basis for NSD-mediated H3K36me2 synthesis in LUAD and LUSC using novel, clinically relevant models. These experiments will provide, to our knowledge, the first analyses of NSDs’ role in tumor cell lineage diversity/plasticity and ITH.
Finally, with the medicinal chemistry team of Dr. Soth (MD Anderson), Dr. Jian Jin (Mount Sinai) and Dr. Gozani (Stanford), we are developing the first-in-class catalytic inhibitors of NSD2 and 3. Our initial data suggest we are able to achieve high selectivity of NSD2 inhibition at single nM concentrations, and ongoing animal studies indicate favorable PK/PD and low toxicity (Patent: WO2024073282A2).
We are also exploring combination therapies with KrasG12C inhibitors and immunotherapy, including CAR T cells. This research is supported by R01CA272844, R01CA278940, CPRIT RP220391, foundation grants and sponsored research agreements.
Deciphering origins and consequences of intratumoral heterogeneity of gastric cancer
Gastric adenocarcinoma (GAC) is an aggressive malignancy with a striking ability to rapidly develop therapy resistance and a unique propensity to metastasize into the peritoneal cavity forming peritoneal carcinomatosis (PC) (~40% of patients), which is considered universally lethal (med. survival <4 months). Key factors limiting the development of new therapeutics are the extensive heterogeneity (except p53 mutations in over 50% of GAC, the next ~160 cancer genes (OncoKB) are mutated at a frequency of 5 to 20%) and lack of appropriate models.
We have developed several novel GEM models of GAC that recapitulate human disease including Helicobacter pylori virulence factors. To decipher the cellular and molecular mechanisms of GAC pathogenesis, in particular, the role of intratumoral heterogeneity (ITH) and tumor microenvironment (TME), we perform longitudinal single-cell and spatial transcriptome profiling of human and mouse GAC from paired primary and metastatic sites.
Our research revealed extensive diversity in tumor cell lineages and transcriptomic states compositions as key contributors to ITH, with highly prognostic significance for GAC response to therapy. We also uncovered distinct cellular ecosystems and co-association patterns within the TMEs of primary and metastatic sites, as well as diverse evolutionary paths leading to T cell dysfunction and loss of B cell clonality in PC and liver mets TMEs.
Based on our findings, we are investigating a novel therapeutic approach based on a combination of adoptive transfer of CAR T cells and small molecule inhibitors (Gastroenterology, 2024; Cancer Cell, 2023; Gut, 2023). This work is supported by recently awarded R01CA266280.
Main research accomplishments of the Mazur Lab
1. Methylation "code" in the regulation of protein synthesis
Discovery of eEF1A lysine methyltransferase function in cancer pathology
Our work in collaboration with Dr. Gozani (Stanford) identified METTL13, a previously not recognized protein methyltransferase (PMT), as a critical regulator of tumorigenesis. We found that METTL13, through methylation of lysine 55 of eEF1A, regulates mRNA translation, the most energy-consuming process in the cell. Specifically, METTL13-catalyzed eEF1A methylation increased the intrinsic GTPase activity of eEF1A in vitro and protein production in cells. METTL13 deletion and subsequent loss of eEF1A K55me2 did not affect non-transformed cells but greatly attenuated KRAS-driven tumorigenesis in mouse models of pancreatic and lung adenocarcinomas and patient-derived xenografts (PDX) (Cell, 2019).
The ongoing research effort is focused on the role of METTL13 in resistance to KrasG12C inhibitors via specific METTL13-mediated adaptation of mRNA translation (supported by the R01CA236118). Of note, we have now identified and are currently pursuing research on several enzymes methylating ribosomal proteins and regulating mRNA translation. For instance, in our most recent work we have identified FAM86A as a unique lysine methyltransferase of eEF2 controlling oncogenic ribosomal translation output to lung cancer pathogenesis (Molecular Cell, 2024).
Further, we identified a novel lysine methyltransferase SMYD5 to methylate ribosomal protein rpl40, which regulates mRNA translation elongation and is critically important in regulation in the malignant progression of gastric cancer and hepatocellular carcinoma (Nature, 2024; Cell Research, 2024).
2. Identification of NSD3 as an oncogenic driver of lung squamous cell cancer (LUSC)
Lung cancer is the leading cause of cancer-related mortality worldwide. Yet, the LUSC subtype remains largely understudied in part due to the lack of proper models recapitulating the complexity of LUSC genomic alternations, whose significance is poorly recognized. For instance, amplifications of chromosomal region 8p11-12 (8p11AMP), which represents a critical genetic hallmark of LSCC, are present in >30% of tumors.
Together with Dr. Gozani’s lab (Stanford), we found that the H3K36 methyltransferase NSD3 (not as previously postulated FGFR1) is the major oncogenic driver in the 8p11AMP amplicon — a finding with clinical relevance for the >100,000 patients (Nature, 2021). We continue the research on NSD3's role in LUSC pathogenesis, specifically by (i) leveraging unique next-generation LUSC mouse models we have recently developed to (ii) map the specific epigenetic basis of NSD3’s mode of action using single-cell transcriptomics and epigenetic profiling, including CUT&TAG and TEM-seq, and (iii) explore the aberrant crosstalk between NSD3 and non-canonical histone variant in driving oncogenic programming (supported by R01CA278940). Development of next-generation mouse models recapitulating critical LUSC amplifications (3q26AMP and 8p11AMP) is supported by the CPRIT RP220391 grant.
3. NSD2 is an epigenetic mutagen in lung adenocarcinoma (LUAD)
In a collaborative effort with Dr. Gozani’s lab (Stanford), we found that NSD2, via H3K36me2, cooperates with oncogenic KRAS to drive LUAD pathogenesis. In addition, we identified a mutation that hyperactivates NSD2E1099K and rapidly accelerates cancer progression. Mechanistically, pathologic H3K36me2 generation by NSD2 amplifies the transcriptional output of KRAS and several complementary oncogenic gene expression programs. For validation experiments, we established a versatile in vivo conditional and inducible CRISPR interference mouse model (dCas9-KREB-MePC2), which showed that acute loss of NSD2 strongly attenuates tumor growth (Molecular Cell, 2021).
The critical observation from our study is that NSD2 depletion combined with MEK1/2 inhibition causes nearly complete tumor regression. Therefore we are currently exploring: (i) the molecular and epigenetic basis of NSD2’s mode of action using single-cell transcriptomic and epigenetic profiling (CUT&TAG, TEM-seq, NICE-seq), (ii) the first-in-class catalytical inhibitors of NSD2 and (iii) applying NSD2i for combination therapies with KrasG12Ci utilizing an animal model carrying novel conditional KrasG12C mutant allele. This research is supported by the R01CA272844.
4. DNA alkylation damage repair is regulated by non-histone protein methylation signaling
Small cell lung cancer (SCLC) is the most fatal form of lung cancer, with poor survival rates, limited therapeutic options and rapid development of chemoresistance. In collaboration with the labs of Drs. Reynoird (Grenoble) and Mosammaparast (WashU), we identified the lysine methyltransferase SMYD3 as a major regulator of SCLC sensitivity to alkylation-based chemotherapy.
RNF113A methylation by SMYD3 impairs its interaction with the phosphatase PP4, controlling its phosphorylation levels. This cross-talk between posttranslational modifications acts as a key switch in promoting and maintaining RNF113A E3 ligase activity, essential for its role in alkylation damage response. In turn, SMYD3 ablation restores SCLC vulnerability to alkylating chemotherapy (Cancer Discovery, 2022). We have previously identified SMYD3 as a major factor regulating the KRAS-MAPK pathway via methylation of MAP3K2 in PDAC and LUAD (Nature, 2014). Therefore, SMYD3 is a relevant therapeutic target (albeit via different mechanisms) in SCLC and in KRAS-driven tumors.
5. Identification of mechanisms of pancreatic ductal adenocarcinoma (PDAC) drug resistance
Identification of SETD5 as a novel mediator of targeted therapy resistance in pancreatic cancer
One of our long-term interests is PDAC cells’ capacity to evolve and “re-wire” their signaling networks in response to therapy (e.g., Nature, 2014; Nature Medicine, 2013; Nature Medicine 2015; Genes Dev, 2016). To explore the role of epigenetic factors in the resistance, we performed a genetic screening (in collaboration with Dr. Basik, Stanford) and identified SETD5 putative methyltransferase as a major driver of PDAC resistance to KRAS-MAPK inhibitors.
In collaboration with Dr. Gozani’s lab (Stanford) we found that SETD5 lacks intrinsic enzymatic activity but forms a co-repressor complex (NCOR1/HDAC3/G9a) that selectively deacetylates and methylates histone H3K9, which regulates a network of drug resistance pathways (Cancer Cell, 2020).
We are now testing the preclinical potential of specific inhibition of SETD5 complex activities and its role in resistance to KrasG12C inhibitors using our novel PDAC models driven by KrasG12C oncogene in the adult pancreas (supported by R01CA236949). Dr. Mazur is also the scientific founder of Amplify Medicines, Inc. (now part of Ikena Oncology), which seeks to translate the molecular mechanisms of drug resistance into clinical practice to synergistically magnify the efficacy of cancer therapies.
6. Transcription factor methylation drives small cell lung cancer (SCLC) progression and drug resistance
CAMR1 methylation of NFIB is critical in the malignant progression of small cell lung cancer
In collaboration with the Bedford Lab (MD Anderson), we performed a proteomic screening (focused on protein methylation). We found that CARM1 arginine methyltransferase specifically methylates transcription pioneering factor NFIB, previously implicated in the malignant progression of SCLC. We found that NFIB methylation by CARM1 is required to trigger genome-wide modification of chromatin accessibility.
Mechanistically, we identified previously unrecognized reader protein TRIM29 that recognizes methylated NFIB and recruits chromatin-modifying enzymes (Nature Communications, 2022). Using several novel animal strains, including those developed in the Mazure Lab, we developed a “two-step” genetic model of SCLC in which initiating mutations can be separated from tumor progression/maintenance, and we have validated CARM1 as a new therapeutic target in SCLC (supported by R01CA272843).
7. Protein methylation regulates lamellipodia dynamics and promotes cell motility and cancer metastasis
SMYD2 lysine methyltransferase controls cancer cell mobility and metastasis
In collaboration with Dr. Reynoird's lab, we identified BCAR3 as a new substrate of SMYD2 using a high-throughput proteomic screening. We demonstrated that cell-adherence regulator BCAR3 methylation is critical for cell motility and invasiveness using advanced molecular and microscopy approaches. We further found through quantitative proteomics a novel methyl-binding domain within actin-regulators FMNLs, able to specifically recognize BCAR3 methylation.
FMNLs are essential in forming protrusive actin structures such as lamellipodia, and our subsequent analysis revealed that methylation of BCAR3 enhances lamellipodia formation by recruiting FMNLs at the cell leading edge, generating force enabling cellular motility critically important for metastatic tumor spread (Cell Discovery, 2024).
8. Deciphering origins and clinical implications of intratumoral heterogeneity of gastric cancer
Gastric adenocarcinoma (GAC) is a lethal malignancy with a striking ability to rapidly develop therapy resistance and a unique propensity to metastasize into the peritoneal cavity. Key factors limiting the development of new therapeutics are the extensive heterogeneity and lack of appropriate models.
To challenge those limitations, we have generated a new genetically defined mouse model of metastatic GAC which recapitulates human disease. In collaboration with the clinical team of Dr. Ajani, the computational biology group of Dr. Wang, and our lab, we aim to dissect the cellular and molecular intratumoral heterogeneity (ITH) in advanced GAC using single-cell transcriptome profiling of human and mouse GAC from primary site and peritoneal metastasis.
We hypothesize that tumor cell lineage/state evolves to promote GAC progression and metastatic dissemination, and its cellular compositions determine phenotypes and outcomes of GAC (Gastroenterology, 2024; Cancer Cell, 2023; Gut, 2023). This work is supported by R01CA266280.
9. Identification of the master regulators of CAR T cell exhaustion
CAR T cells are expected to become a standard component in curative therapy regimens for recalcitrant cancers. Thus, in the Mazure Lab, we systematically evaluate strategies to enhance CAR T cell efficacy. Our research focuses on the phenomenon of T cell exhaustion as the leading cause of CAR T failure in solid tumors. T cell exhaustion is a highly regulated genetic program in which we observe a gene regulation hierarchy with master regulators at the top. Canonical examples of master regulators include Yamanaka factors maintaining pluripotency in stem cells.
Therefore, we hypothesize that identifying and modulating “master regulators” of T cell exhaustion will allow us to prevent exhaustion and increase the efficacy of CAR T cells. Our results indicate, as expected that individual TFs control distinct aspects of T cell exhaustion. Our goal is to identify synergistic combinations of TF modifications to optimize CAR T activity (e.g. Nature 2024; Gastroenterology, 2024). This work is supported by the DoD CA181486 grant.
10. SSN-seq a novel method of intracellular barcoding for multiplexed scRNA-seq
In the course of working on CAR T cell exhaustion, we encountered technical limitations in studying transcriptional profiles by scRNA-seq in pooled modified CAR T cells isolated from tumors. Therefore, we developed a new universal method for barcoding and multiplexing samples for scRNA-seq using Shielded Small Nucleotides (or SSN-seq). We propose SSN-seq as a cost-effective way to multiplex samples and to explore tumor heterogeneity (Nature Biomedical Engineering, 2023). The SSN-seq method was filed for patent protection (PCT/US2022/078994).